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341. 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. | PSNet
     psnet.ahrq.gov/issue/2024-network-patient-safety-databases-chartbook-medication-and-other-substance-events
     September 11, 2024 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866690/psn-pdf
     September 11, 2024 - The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing … The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing … https://psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety … - and-reducing Checklists and error reporting systems are designed to improve patient safety. … psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47586/psn-pdf
     March 20, 2019 - Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative … Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative … https://psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome- human-error … https://psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error … https://psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867639/psn-pdf
     February 26, 2025 - Framing diagnostic error: an epidemiological perspective. … Framing diagnostic error: an epidemiological perspective. … https://psnet.ahrq.gov/issue/framing-diagnostic-error-epidemiological-perspective Diagnostic error continues … This narrative review presents ways to improve epidemiological research into diagnostic error. … Definitions of "diagnostic error" vary greatly between studies.

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860389/psn-pdf
     January 10, 2024 - Error codes at autopsy to study potential biases in diagnostic error. … Error codes at autopsy to study potential biases in diagnostic error. … https://psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error Autopsies are … https://psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error https://psnet.ahrq.gov

346. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/865864
     January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Diagnostic Error Curated … More than 5,300 closed claims with at least one diagnostic error were analyzed. … The patient is in: patient involvement strategies for diagnostic error mitigation. … More than 5,300 closed claims with at least one diagnostic error were analyzed. … Patients' perspectives of diagnostic error: a qualitative study.

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50892/psn-pdf
     February 12, 2020 - Association of open communication and the emotional and behavioural impact of medical error on patients … Association of open communication and the emotional and behavioural impact of medical error on patients … impact, 57% reported avoiding the doctor(s) or facility(s) involved in the error, and two-thirds of … respondents reported a loss of trust after the medical error. … reduce persistent emotional impacts and avoidance of doctors/facilities involved in the error.

348. Factors influencing perioperative nurses' error reporting preferences. | PSNet
     psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-preferences
     June 23, 2010 - Study Factors influencing perioperative nurses' error reporting preferences. … Factors influencing perioperative nurses' error reporting preferences. AORN J. 2007;85(3):527-43. … Factors influencing perioperative nurses' error reporting preferences. … RIS Download Citation Related Resources From the Same Author(s) Error … A study of patients' and operating room team members' perceptions of error definition, reporting, and

349. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet
     psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
     April 13, 2018 - Book/Report Second Victim: Error, Guilt, Trauma, and Resilience. … Citation Text: Second Victim: Error, Guilt, Trauma, and Resilience. Dekker S. … Copy URL Cite Citation Citation Text: Second Victim: Error … January 1, 2019 Behind Human Error, Second Edition. … October 5, 2011 The Field Guide to Human Error Investigations, Third Edition.

350. Wrong-Time Error With High-Alert Medication | PSNet
     psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
     February 01, 2014 - Wrong-Time Error With High-Alert Medication Citation Text: Yang A, Nelson LS. … Wrong-Time Error With High-Alert Medication. PSNet [internet]. … Wrong-Time Error With High-Alert Medication. PSNet [internet]. … The hospital instituted this restriction after the medication error in this case. … Wrong-Time Error With High-Alert Medication. PSNet [internet].

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61062/psn-pdf
     January 01, 2022 - Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. … Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. … This study used clinical vignettes describing a medication error or near miss to explore error awareness … Perioperative medication error awareness and assessment of potential harm were variable, and the likelihood … Education programs utilizing vignettes should be utilized to raise awareness about error reporting and

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60887/psn-pdf
     September 09, 2020 - Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies … Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies … https://psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and … Error categories included (1) undocumented errors, (2)  drug library  errors, (3) programming errors … A range of prevention strategies were identified and mapped to the error types.

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837960/psn-pdf
     August 31, 2022 - Interventions to reduce the incidence of medical error and its financial burden in health care systems … Interventions to reduce the incidence of medical error and its financial burden in health care systems … https://psnet.ahrq.gov/issue/interventions-reduce-incidence-medical-error-and-its-financial-burden-health … This review identified eight categories of hospital-acquired conditions (i.e., overall medical error … , medication error, diagnostic error, patient falls, healthcare-associated infections, transfusion and

354. Flaws in clinical reasoning: a common cause of diagnostic error. | PSNet
     psnet.ahrq.gov/issue/flaws-clinical-reasoning-common-cause-diagnostic-error
     September 30, 2012 - Commentary Flaws in clinical reasoning: a common cause of diagnostic error. … Flaws in clinical reasoning: a common cause of diagnostic error. … Flaws in clinical reasoning: a common cause of diagnostic error. … May 29, 2024 Error codes at autopsy to study potential biases in diagnostic error. … After the medical error.

355. Cognitive interventions to reduce diagnostic error: a narrative review. | PSNet
     psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
     October 16, 2012 - Classic Cognitive interventions to reduce diagnostic error … Cognitive interventions to reduce diagnostic error: a narrative review. … Cognitive interventions to reduce diagnostic error: a narrative review. … March 13, 2019 Diagnostic Error in Medicine. … November 27, 2013 Overconfidence as a cause of diagnostic error in medicine.

356. The patient is in: patient involvement strategies for diagnostic error mitigation. | PSNet
     psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
     April 24, 2018 - Review The patient is in: patient involvement strategies for diagnostic error mitigation … The patient is in: patient involvement strategies for diagnostic error mitigation. … The patient is in: patient involvement strategies for diagnostic error mitigation. … March 27, 2019 Diagnostic Error in Medicine. … April 4, 2018 Cognitive interventions to reduce diagnostic error: a narrative review.

357. Feeling No Pain | PSNet
     psnet.ahrq.gov/web-mm/feeling-no-pain
     August 30, 2023 - Human error in medicine: a frontier for change. In: Bogner, MS, ed. Human error in medicine. … Stretching the search for the “why” of error: the systems approach. … Identifying error provoking factors: the systems approach. … The systems approach analysis of error. … Error reduction as a systems problem. In: Bogner MS, ed. Human error in medicine.

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36972/psn-pdf
     June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … ISMP medication error report analysis. Hosp Pharm. 2010;42(6):498-499. doi:10.1310/hpj4206- 498. … error reports includes an error averted because the pharmacist checked the patient's prior prescription … data and a dosing error due to consumer confusion about dose measurement. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-14

359. Reducing latent errors, drift errors, and stakeholder dissonance. | PSNet
     psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
     December 14, 2010 - Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. … September 8, 2021 ISMP medication error report analysis. … Conversation With… Erik Hollnagel, PhD June 1, 2019 Technology, cognition and error

360. Hospital progress in reducing error: the impact of external interventions. | PSNet
     psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions
     December 04, 2016 - Study Hospital progress in reducing error: the impact of external interventions. … Hospital progress in reducing error: the impact of external interventions. … Hospital progress in reducing error: the impact of external interventions.